SPORTS MEDICINE AT CHELSEA NPI 1962877472

NPI Information

NPI: 1962877472
Provider Name: SPORTS MEDICINE AT CHELSEA
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
22 W 21ST ST STE 400
NEW YORK, NY
ZIP 10010
Phone: (212) 366-5100
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SPORTS MEDICINE AT CHELSEA is a medical physician assistant in New York, NY. SPORTS MEDICINE AT CHELSEA NPI is 1962877472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22 W 21ST ST STE 400
NEW YORK, NY
ZIP 10010-946
Phone: (212) 366-5100
Fax: (212) 366-6275

The provider's authorized official is Aran Degenhardt .
The authorized official title is Medical Director and has the following contact phone number (212) 366-5100.

The enumeration date for this NPI number is 12/9/2015 and was last updated on 12/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	019337	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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